A client presents at a community-based clinic with complaints of shortness of breath, headache,
dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant
worker who often uses a gasoline-powered pressure washer to clean equipment and farm
buildings. Which typ...
Community Health HESI
While discussing the science of nursing, the nurse identifies the domain of nursing theory.
Which linkages should the nurse provide to describe nursing's paradigm?
A. The person, the environment or situation, and health
B. Stress reduction, self-care, and a systems model
C. Curative care, restorative care, and terminal care
D. Self-actualization, fundamental needs, and belonging - correct answersA. The person, the
environment or situation, and health
A terrorist attack has occurred and several people have inhaled Ricin. Which intervention
should the emergency department nurse implement when caring for these clients?
A. Administer the antibiotic streptomycin, IV STAT
B. Provide all clients with the Ricin antidote
C. Implement strict respiratory isolation immediately
D. Provide supportive nursing care until antitoxin is available - correct answersD. Provide
supportive nursing care until antitoxin is available
Which topic should the nurse include in planning a primary prevention class for adolescents?
A. Risk factors for heart disease
B. Dietary management of obesity
C. Suicide risks and prevention
D. Coping with stressful situations - correct answersC. Suicide risks and prevention
The nurse administers a booster dose of DTaP vaccine to an infant. Which level of prevention is
the nurse implementing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Primary nursing - correct answersA. Primary prevention
The nurse is working in a community clinic that serves a population comprised mainly of
migrant families. In planning the use of resources for secondary prevention, which activity
should be the priority?
A. Skin testing for tuberculosis
B. Glucose monitoring for diabetes
C. Blood work for cardiovascular disease
D. Height and weight for altered nutrition - correct answersA. Skin testing for tuberculosis
, A nurse organizes a community action group to help resolve health problems in a low income
neighborhood with a large population of recent immigrants from Africa. What problem should
the nurse address first?
A. High rate of unemployment
B. Low immunization rate of children
C. Provision of substandard health care
D. Access to bilingual care providers - correct answersB. Low immunization rate of children
The nurse is assessing a Vietnamese child during a home health visit and identifies round
swellings on the child's back. The child's mother says she rubbed the edge of a coin on her
child's oiled skin. The nurse should recognize that this behavior is prompted by which cultural
belief?
A. The child's behavior was not acceptable
B. The purpose is to rid the body of disease
C. This method is commonly used for discipline
D. The temper tantrums are commonly managed using this method - correct answersB. The
purpose is to rid the body of disease
Attendance at a community health clinic is rising and clients have long waits for service. The
charge nurse believes that a computer system would be helpful in decreasing the time needed
to conduct intake and exit processing. What is the nest way for the nurse to introduce the idea
of obtaining a computer system for the clinic?
A. Ask the medical director to talk to the Board of Directors about obtaining funds to
implement a computer system
B. Send a signed letter to the editor of the local newspaper describing the benefits to the
community
C. Submit a written proposal to the Board of Directors about hardware and software
improvement needs
D. Meet informally with some Board members to enlist their support for the idea of
implementing a computer system - correct answersC. Submit a written proposal to the Board of
Directors about hardware and software improvement needs
Lillian Wald was a significant person in the history of American nursing. Which contributions
can be attributed to her? (Select all that apply)
A. Development of public health nursing practice
B. First nursing service for occupational health
C. Campaigned for laws to require registration for nurses
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service - correct answersA. Development of public health
nursing practice
B. First nursing service for occupational health
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service
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